The Upper Hand: Chuck & Chris Talk Hand Surgery Deep Dives on Surgical Technique: Cubital Tunnel Decompression
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May 9, 2021 Dive into the intricate world of cubital tunnel decompression, where expert surgeons unravel the nuances of surgical techniques. They share invaluable tips on incision placement and nerve handling, ensuring the preservation of patient comfort. Personal anecdotes and audience feedback create an engaging atmosphere, highlighting critical reflections on their clinical practice. Listen as they explore preoperative evaluations and the significance of proper nerve positioning, all while fostering a sense of community in the evolving field of hand surgery.
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Incision and Dissection Technique
- Make a 5 cm incision just anterior to the medial epicondyle for in situ ulnar nerve decompression.
- Use blunt dissection and two sen retractors to find and protect the nerve without removing the muscular septum.
Handling the FCU Muscle Belly
- Incise the superficial fascia over the FCU muscle bellies carefully and bluntly separate the muscle.
- Release the deep fascia of the FCU to decompress the nerve properly without excessive cutting.
Hemostasis for Vessels Near Nerve
- Use a bovie or bipolar for hemostasis, especially around the small transverse vessel near the nerve's entry into the FCU.
- Apply bipolar cautery cautiously to avoid nerve irritation or damage during vessel control.
